@layout("/common/_form.html",{js:["/assets/payee/payee_edit.js"]}){

<form class="layui-form" id="payeeForm" lay-filter="payeeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" disabled placeholder="请输入收款类型" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款类型id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="payid" name="payid" disabled placeholder="请输入收款类型id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>

                    <div class="layui-form-item" id="receivablesPicture1" style="display: none">
                        <label class="layui-form-label">图片：</label>
                        <div class="layui-input-block">
                            <button type="button" class="layui-btn layui-btn-sm" id="picBtn"><i class="layui-icon"></i>选择图片</button>
                            <div class="layui-upload-list">
                                <img class="layui-upload-img" id="img1" width="250px" height="250px" >
                            </div>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12" id="receivablesPicture2" style="display: none">
                        <label class="layui-form-label">银行卡号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="pic" name="pic" placeholder="请输入银行卡号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款账号(卡名)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="account" name="account" placeholder="请输入收款账号(卡名)" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12" id="backup" style="display: none">
                        <label class="layui-form-label">是否显示<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="backup1" id="backup1" lay-filter="required" lay-search="">
                                <option value="0">显示</option>
                                <option value="1">不显示</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12" id="phones" style="display: none">
                        <label class="layui-form-label">收款名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" lay-filter="required" placeholder="请输入收款名" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12" id="class" style="display: none">
                        <label class="layui-form-label">银行卡类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="classs" id="classs" lay-filter="required" lay-search="">
                            </select>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}